Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $23.76 / $74.73	Professional		$21.63	$23.76	$74.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.93 / $6.17 / $37.81	Professional	26	$4.93	$6.17	$37.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.70 / $18.68 / $56.26	Professional	TC	$16.70	$18.68	$56.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $14.61 / $19.98	Professional		$14.60	$14.61	$19.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.06 / $3.10 / $7.65	Professional	26	$3.06	$3.10	$7.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.54 / $11.54 / $11.54	Professional	TC	$11.54	$11.54	$11.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $53.20 / $71.20	Professional		$24.06	$53.20	$71.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $8.94 / $12.67	Professional	26	$6.04	$8.94	$12.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.37 / $38.11 / $61.35	Professional	TC	$19.37	$38.11	$61.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.95 / $23.46 / $74.45	Facility		$21.95	$23.46	$74.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.34 / $3.57 / $9.31	Facility	26	$3.34	$3.57	$9.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $24.04 / $75.00	Professional		$14.29	$24.04	$75.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.15 / $5.90 / $13.71	Professional	26	$3.15	$5.90	$13.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.02 / $17.60 / $48.45	Professional	TC	$11.02	$17.60	$48.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.54 / $162.36 / $178.89	Facility		$65.54	$162.36	$178.89
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $15.48 / $100.00 / $100.00	Facility	26	$15.48	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.07 / $270.27 / $282.08	Professional		$263.07	$270.27	$282.08
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $145.30 / $145.30 / $145.30	Professional	26	$145.30	$145.30	$145.30
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $226.21 / $227.48 / $232.41	Professional	TC	$226.21	$227.48	$232.41
United Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $29.79 / $70.67	Professional		$16.80	$29.79	$70.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.86 / $5.78 / $12.59	Professional	26	$3.86	$5.78	$12.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.93 / $24.18 / $58.08	Professional	TC	$12.93	$24.18	$58.08